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Three-dimensional printed upper-limb prostheses lack randomised controlled trials

DIMENT LE; THOMPSON MS; BERGMANN JH
PROSTHET ORTHOT INT , 2018, vol. 42, n° 1, p. 7-13
Doc n°: 187056
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364617704803
Descripteurs : EC151 - CONFECTION - PROTHESE DE MEMBRE SUPERIEUR

Three-dimensional printing provides an exciting opportunity to customise upper-limb prostheses. OBJECTIVE:
This review summarises the research
that assesses the efficacy and effectiveness of three-dimensional printed
upper-limb prostheses. STUDY DESIGN: Systematic review. METHODS: PubMed, Web of
Science and OVID were systematically searched for studies that reported human
trials of three-dimensional printed upper-limb prostheses. The studies matching
the language, peer-review and relevance criteria were ranked by level of evidence
and critically appraised using the Downs and Black Quality Index. RESULTS: After
removing duplicates, 321 records were identified. Eight papers met the inclusion
criteria. No studies used controls; five were case studies and three were small
case-series studies. All studies showed promising results, but none demonstrated
external validity, avoidance of bias or statistically significant improvements
over conventional prostheses. The studies demonstrated proof-of-concept rather
than assessing efficacy, and the devices were designed to prioritise reduction of
manufacturing costs, not customisability for comfort and function. CONCLUSION:
The potential of three-dimensional printing for individual customisation has yet
to be fully realised, and the efficacy and effectiveness to be rigorously
assessed. Until randomised controlled trials with follow-up are performed, the
comfort, functionality, durability and long-term effects on quality of life
remain unknown. Clinical relevance Initial studies suggest that three-dimensional
printing shows promise for customising low-cost upper-limb prosthetics. However,
the efficacy and effectiveness of these devices have yet to be rigorously
assessed. Until randomised controlled trials with follow-up are performed, the
comfort, functionality, durability and long-term effects on patient quality of life remain unknown.

Langue : ANGLAIS

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